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JOURNAL OF AMERICAN COLLEGE HEALTH, VOL. 61, NO.

Major Article

Dietary Intakes and Eating Habits of College


Athletes: Are Female College Athletes Following
the Current Sports Nutrition Standards?

Lenka H. Shriver, PhD; Nancy M. Betts, PhD, RD;


Gena Wollenberg, PhD, RD, CSSD

Abstract. Objective: The objective of this study was to assess management problems.6,7 Despite the dramatic increase in
dietary intakes and eating habits of female college athletes and the number of women competing in college sports and the
compared them with the minimum sports nutrition standards.
importance of nutrition for health and performance, very lit-
Participants: Data were obtained from 52 female college athletes
from a National Collegiate Athletic Association (NCAA) Division I tle is known about dietary intakes, food habits, and overall
university between January 2009 and May 2010. Methods: Partici- diet quality in this unique population.
pants completed anthropometric measurements and dietary assess- Dietary assessment is a time-consuming and complex pro-
ment using a 3-day food record, a 24-hour recall, and a nutrition cess that requires in-depth dietary data collection and appro-
questionnaire. Results: t tests indicated the energy and carbohy-
priate interpretation of the results.8 The utilization of 24-hour
drate intakes were below the minimum recommended amount (p <
.001), with only 9% of the participants meeting their energy needs. dietary recalls, food records, and other dietary assessment
Seventy-five percent of the participants failed to consume the min- tools is critical for gathering detail food-related information.
imum amount of carbohydrates that is required to support training. A combination of 2 or more dietary assessment techniques
The majority of the participants reported no regular breakfast, 36% can significantly improve the quality of the obtained data;
consumed < 5 meals/day, and only 16% monitored their hydration
however, studies on college athletes utilizing such approach
status. Conclusions: Effective nutrition interventions are needed to
improve dietary intakes and eating habits of female college athletes. are lacking in the current literature. This is in part due to
dietary assessment posing a high burden on subjects, espe-
Keywords: athletics, nutrition cially athletes whose schedule is hectic. Yet, using multiple
techniques and obtaining detailed data is warranted for con-
ducting accurate dietary assessment and designing effective

T
he number of female student-athletes participating in nutrition education or intervention programs for collegiate
collegiate sports has increased tremendously in the athletes in the future.
last decade, with more than 190,000 women being The Dietary Reference Intakes (DRIs) include the Ac-
registered under the National Collegiate Athletic Associa- ceptable Macronutrient Distribution Ranges (AMDRs) and
tion (NCAA).1 Adequate nutrition is important not only for currently represent the energy and nutrient standards for
maintaining good health and nutritional status of these young a general healthy population in the United States.9 The
women, but also for maximizing their athletic potential.2–5 AMDRs state that the acceptable proportion of daily energy
Overall, female athletes are more vulnerable to nutrition- intake from carbohydrates, protein, and fat is 45%–65%,
related issues than their male counterparts, including nutrient 10%–35%, and 20%–35%, respectively.4,9,10 However, re-
deficiencies, eating disorders, body image issues, and weight search has indicated that the macronutrient requirements for
athletes vary from these recommendations. Furthermore, ex-
perts agree that the requirements for athletes should be ex-
Dr Shriver, Dr Betts, and Ms Wollenberg are with the Depart-
ment of Nutritional Sciences at Oklahoma State University in Still-
pressed in grams per kilogram of body mass (g/kg) rather
water, Oklahoma. than as proportion of total energy intake in order to re-
Copyright © 2013 Taylor & Francis Group, LLC flect their needs more accurately.5,10–12 This approach is

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Dietary Habits of Female College Athletes

believed to minimize the number of athletes for whom the energy and macronutrient intakes of female college athletes
macronutrient needs are miscalculated, especially for those and compare their intakes with the minimum sports nutri-
with very low or very high energy intakes.13 tion recommendations. The secondary purpose of the study
Using the weight-based approach, studies have established was to explore eating habits and dietary patterns in the target
that a minimum of 5 g/kg of dietary carbohydrates is needed population.
to maintain adequate glycogen stores and support general
training of all athletes on a regular basis.5,13 The protein METHODS
recommendations have been also established for athletes de-
pending on their body size.12,14 The guidelines range from Participants
1.2 g/kg for endurance athletes to ≤ 2.0 g/kg for strength This descriptive study utilizing a convenience sample of fe-
athletes or athletes engaged in weight loss efforts. Overall, male college athletes was conducted in a Division I university
the 1.2 g/kg is considered to be the minimum amount of in a midwestern state of the United States. The athletic train-
protein required for adequate recovery and tissue repair for ers were informed about the nature of the study and about the
any type of athletes.4,12 Currently, there are no weight-based details related to participation in the study. The trainers then
guidelines for athletes in terms of dietary fat intake. Thus, assisted with the recruitment of potential participants from
athletes are advised to follow the AMDR for dietary fat, rang- 3 university women’s athletic teams between January 2009
ing from 20% to 35% of their total energy intake.4 Despite and May 2010. Potential participants were informed about
the established weight-based minimum recommendations for the details of the study and were provided with a written in-
carbohydrates and protein, athletes often continue to be ad- formed consent form for their review during team meetings
vised to consume carbohydrates and protein based on their and/or individual visits in the athletic training room. The in-
total energy intake.3,11,15 clusion criteria for the study included being a member of one
Food-related habits and dietary patterns are important of the women’s athletic teams, being 18 or older, and being
for athletic performance and recovery because they influ- free of injury at the time of the study. Interested athletes were
ence energy consumption, nutrient intake, as well as hy- then scheduled for a visit in a laboratory in the Department
dration status.16 The timing and macronutrient composition of Nutritional Sciences. During the laboratory visit, the pri-
of meals are especially critical for athletic performance be- mary investigator and research assistants provided potential
cause they impact not only the upcoming training session, participants with further details about the study, including the
but also the athlete’s immediate recovery from the work- risks and benefits associated with the study. The participants
out.5 Thus, sports nutrition guidelines have been established were asked to sign written informed consent prior to data
for meal/snack frequency, breakfast consumption, hydration, collection. The study protocol was reviewed and approved
and other nutrition-related behaviors.3,4,14,17,18 Preexercise by the university’s Athletic Department and the university’s
fueling improves performance and prevents hunger during institutional review board before any subject recruitment and
high-intensity prolonged exercise, thus athletes should con- data collection began.
sume a carbohydrate-rich meal/snack depending on the time
available, duration, and intensity of the event.19,20 Athletes, Procedures and Research Instruments
particularly females, are especially vulnerable to low energy Anthropometric measurements, including height, body
levels, hypoglycemia, and fatigue in the morning. As shown mass, and body composition, were completed with each
in previous research, skipping breakfast may negatively in- subject during the first laboratory visit. Height and body
fluence cognitive abilities and it may alter metabolism due mass were measured using a digital scale (Seca 664;
to reduced availability of carbohydrates to the brain.21 In Hamburg, Germany), and a wall-mounted stadiometer
athletes, breakfast consumption significantly improves per- (Harpenden, Holtain, Crymmych, Pembrookshire, United
formance by restoring the level of liver and muscle glycogen Kingdom). Standard procedures for height and body mass
after the overnight fast.5 Athletes are not only advised to measurements commonly used in previous research were
eat breakfast regularly, but also to consume a minimum of used in the study.3 Body mass and height of each subject was
5 meals or snacks in order to maintain energy levels and measured twice to the nearest 0.1 kg and 0.1 cm, with an av-
supply adequate amount of carbohydrates to working mus- erage of the 2 measurements used for the final analysis. Body
cles during the day, especially when multiple workouts are composition was determined using a whole-body scan per-
completed.4,13 formed by dual-energy x-ray absorptiometry (DEXA; QDR
Some research indicates that athletes tend to have poor 4500A; Hologic, Bedford, Massachusetts). The body compo-
dietary intakes; however, most of the existing studies com- sition assessments were performed first thing in the morning
pared athletes’ diets with the nutrient standards that were es- and the participants were instructed to fast overnight, refrain
tablished for general populations.10,22–26 Furthermore, only from strenuous physical activity, and not to eat or drink any-
a few studies have examined dietary habits and food pat- thing before the morning laboratory visit. The DEXA instru-
terns among female college athletes, who are known to be at ment was calibrated, following the manufacturer’s protocol,
a higher risk for nutrient deficiencies, eating disorders, and in the morning hours of the laboratory visits. The quality
other nutrition-related health issues than male college ath- control for body composition measurements was conducted
letes.6,7,27 Thus, the main purpose of this study was to assess using a step-phantom calibration, which ensured that the

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Shriver, Betts, & Wollenberg

system and software were scanning properly before testing. intake, and r = .95 for total protein intake. When substan-
The coefficient of variation for the whole-body scan was < tial differences in data entry were identified between the 2
1%. Prior to the DEXA scan, participants were asked to re- research assistants, the dietary records were examined by the
move any metal objects and were instructed to change into primary investigator and corrections were made in the data
medical gowns. The proportion of fat mass (% of body fat) set.
and the amount of lean body mass (LBM; in kg) were deter- Eating habits of the athletes were evaluated using the
mined from the DEXA scan for each athlete. Nutrition Questionnaire (NQ) that has been previously uti-
A trained research assistant completed a 1-day 24-hour lized for the Combined Events Athlete Development (CEAD)
recall with each subject during the laboratory visit. The re- project with USA Track & Field athletes. Two sports nutri-
search assistant completed a specific 3-hour training on the tion researchers reviewed the questionnaire and modifica-
multiple-pass 24-hour recall method that was led by the pri- tions were made based on their recommendations to ensure
mary investigator prior to the beginning of the study. The face and content validity of the instrument prior to its utiliza-
multiple-pass 1-day 24-hour recall method was used to max- tion in the current study. The NQ included questions about
imize the accuracy and completeness of the foods and bever- variety of nutritional practices such as meal/snack frequency
ages recalled.28 Plastic food models, measuring spoons, cups, (number of snacks and meals a day), dining out (frequency
bowls, and other prompts were used to further improve the per week and type of restaurant), hydration practices (eg, “Do
quality of the collected dietary data. The 24-hour recall was you monitor your body water level?” “Do you use a schedule
also used to accustom participants to recording dietary infor- for drinking fluid during competition?”), weight manage-
mation and to maximize the level of detail when completing ment (eg, “How do you perceive yourself?” “Is it difficult or
food records for the purpose of the study. At the end of the easy to maintain weight while traveling?”), self-evaluation of
24-hour recall interview, each subject was provided with de- diet quality (eg, during training, precompetition, postcompe-
tailed instructions on how to complete a 3-day food record tition). Breakfast consumption was coded according to cri-
and asked to return it within 1 week of the laboratory visit. teria used in previous research with athletes as any caloric
The 3-day food record included 2 weekdays and 1 weekend food/beverage consumed between 6:00 and 8:59 AM on each
day to account for food intake variability during the week. of the reported days.16,27
The participants were also instructed to record the duration,
type, and intensity of their training sessions and all other Statistical Analysis
physical activities they participated in during the 3 reported Means, standard deviations, and frequencies were used to
days. Once the subject returned the 3-day food record, a describe the characteristics of the sample. The participants’
trained researcher immediately checked the food record and carbohydrate and protein intakes were compared with the
followed up with the athlete to clarify specific items and/or current minimum sports nutrition recommendations using 1-
obtain more detail if necessary. Dietary analysis of the 3- sample t tests (test value of 5 g/kg for carbohydrates and
day food record and the 24-hour recall was conducted using 1.2 g/kg for protein).4,5,13 Paired-sample t test was utilized
the Diet Analysis Plus nutrition software (version 9.0 for to compare participants’ reported energy intakes with their
Windows; Wadsworth, Belmont, California). estimated energy needs. The proportion of participants meet-
The resting metabolic rate (RMR) of the participants was ing the estimated energy needs, the minimum recommenda-
estimated using the Cunningham equation.29 The LBM in tions for carbohydrates, and the minimum recommendations
kilograms was obtained directly from the whole-body DEXA for protein were calculated. Bivariate Pearson’s correlations
scan that was performed with each subject. The use of the were used to explore relationships between specific macronu-
Cunningham equation has been shown to represent the clos- trient intakes and selected eating habits. All statistical anal-
est estimate of RMR compared with other equations, pri- yses were conducted using SPSS 18.0 for Windows (SPSS,
marily because the equation takes LBM into account.4,29 Chicago, Illinois), with the level of significance set at p <
The RMR was then multiplied by a physical activity fac- .05 unless otherwise noted.
tor ranging from 1.8 to 2.3 for each subject.4 The appropri-
ate physical activity factor was established using the de- RESULTS
tailed physical activity data reported by each subject in
the 3-day food records, the 24-hour recall, and a nutrition Anthropometric and Demographic Characteristics
questionnaire (including the type, duration, and intensity of Fifty-two female collegiate athletes completed all the mea-
all reported physical activities). A mean 4-day energy in- surements and provided dietary data for the study, reaching
take for each subject was estimated using dietary data from 84% of the target population (n = 62). Seven participants
the 3-day food record and the 24-hour recall and the en- being excluded from the final statistical analyses because
ergy intake was expressed in kilocalories. Two trained re- their 3-day food records did not include sufficient informa-
search assistants entered and analyzed the dietary intakes tion. The demographic and anthropometric characteristics of
independently. The correlation coefficients between the 2 the sample are presented in Table 1. The mean age of the
research assistants were r = .98 for total energy intake, participants in years was M = 20.0, SD = 1.5. The sample
r = .96 for total carbohydrate intake, r = .96 for total fat consisted of soccer players (45%), basketball players (40%),

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Dietary Habits of Female College Athletes

t tests revealed that carbohydrate intake was significantly


TABLE 1. Anthropometric and Demographic lower than the minimum recommended intake of 5 g/kg/day
Characteristics of the Female Athletes ( p < .001), whereas protein intake did not differ significantly
from the minimum protein recommendations of 1.2 g/kg/day
Totala
( p = .38). Frequency analyses showed that 74% and 50%
Characteristics n % M SD Range of the participants failed to meet the carbohydrate and pro-
tein recommendation. The majority of the participants (76%)
Race consumed ≤ 35% of total energy from dietary fat. No sig-
Caucasian 33 73 nificant differences in energy or macronutrient intakes were
African American 10 22
Hispanic 1 2 observed between the types of sports that were represented
Other 1 2 in the sample.
Age (years) 20.0 1.5 18.0–23.0
Body mass (kg) 66.4 11.0 47.4–99.4
Height (cm) 170.4 8.7 152.7–189.1
Body fat 19.5 3.7 11.9–27.8 Eating Habits
aResults based on n = 45 (participants with complete dietary data). The participants consumed 5.0 ± 1.3 meals/snacks per
day (2.80 ± 0.7 and 2.2 ± 1.2, respectively). More than
one-third of the athletes (36%) reported consuming fewer
cross-country runners, and track and field athletes (16%). than 5 meals/snacks a day, 29% of athletes ate less than 3
The majority of the participants were Caucasians (73%), fol- meals a day, and 27% had fewer than 2 snacks a day. There
lowed by African Americans (22%), Hispanics (3%), and was a significant positive correlation between the number of
others (2%). At the time of the study, all participants were in meals/snacks and the intake of carbohydrates relative to body
late preseason and/or early season, they were weight stable weight (r = .47, p < .001), protein (r = .53, p < .001), and fat
and trained 6 days per week, ranging from 1.5 to 2.5 hours (r = .36, p < .05). Regular breakfast was reported by 27% of
per day. the sample, with participants consuming breakfast cereal and
sausage and biscuits most frequently. The mean frequency
Energy and Macronutrient Intakes of dining out was 5.4 times per week, with the most frequent
dining places being sandwich shops (eg, Panera, Quiznos)
The nutritional analyses of the dietary data indicated that
(31%), Mexican restaurants (29%), and fast food restaurants
the energy intake of the participants was 1,939 ± 604 kcal
(eg, McDonald’s, Taco Bell) (20%). There was a significant
(Table 2). The mean proportion of total energy coming from
negative correlation between the frequency of dining out and
carbohydrates, protein, and fat was 53%, 16%, and 31%, re-
carbohydrate intake, regardless of how carbohydrate intake
spectively. The mean intake of energy and macronutrients in
was expressed (r = .46, p < .001 for % of total energy; r =
relation to body size are presented in Table 2. The partic-
−.27, p < .05 for total carbohydrate intake; and r = −.33,
ipants’ reported energy intake was significantly lower than
p < .05 for g/kg of carbohydrates). The frequency of dining
their estimated energy needs ( p < .001), with 91% (n =
out was also significantly associated with the proportion of
41) of the sample not meeting the energy needs. One-sample
energy coming from dietary fat (r = .48, p < .001).
Only 16% of the participants reported monitoring hydra-
tion status on a regular basis. Before a workout, 60% of the
TABLE 2. Reported Energy and Macronutrient participants reported consuming 1 to 2 cups of fluids, with
Intakes of the Female Athletes in the Sample 31% consuming more than 3 cups of fluids. During exercise,
58% reported consuming less than 2 cups of fluids, with 3
Dietary measure M a,b SD Range
athletes consuming no fluids. Forty-four percent of the par-
Energy (kcal) 1,939 604 835–3,322 ticipants reported consuming 3 to 5 cups of fluids and 16%
Energy (kcal/kg) 30 10 16–52 reported consuming more than 5 cups of fluids after their
Carbohydrates (% kcal) 54 6 38–67 training sessions. Nearly none of the participants reported
Carbohydrates (g) 257 77 103–460 following a drinking schedule during a competition (95%).
Carbohydrates (g/kg) 4.0∗∗∗ 1.0 1.8–6.5
Protein (% energy) 16 3 12–24 Forty-four percent of the participants (n = 20) evaluated
Protein (g) 77 22 47–133 their diet as “good,” with 56% stating their diet was “fair” or
Protein (g/kg) 1.2 0.4 0.6–1.9 “poor.” Some of the participants found it difficult to follow a
Fat (% energy) 31 6 18–48 training diet when traveling (22%). The majority of the par-
Fat (g) 69 29 25–143 ticipants evaluated their weight as “healthy” and reported no
Fat (g/kg) 1.1 0.5 0.4–2.4
dieting in the previous 12 months (91%). However, 33% of
aResults based on n = 45 (participants with complete dietary data). the participants expressed a desire to lose weight. Although
bOne-sample t test using the group means and the minimum recom-
most participants found the maintenance of their weight dur-
mendations for carbohydrate (≥ 5 g/kg) and protein (≥ 1.2 g/kg).3
∗∗∗ p
< .001.
ing the season to be “somewhat or very easy,” 29% found the
weight maintenance to be difficult.

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Shriver, Betts, & Wollenberg

COMMENT 30% of the athletes in the sample failed to consume at least


The main purpose of this study was to examine dietary in- 1.2 g/kg.
takes and eating habits in a sample of female college athletes Low energy intakes have been reported in studies with fig-
and compare them with the current sports nutrition guide- ure skaters, aquatic athletes, and athletes in other aesthetic
lines.4 Nearly all athletes in the sample failed to match their sports.6,11,16 Endurance and aesthetic athletes are thus espe-
energy intakes with their estimated energy needs. The major- cially vulnerable to a variety of health problems, including
ity of them also failed to meet their carbohydrates needs, even impaired poor bone density, poor reproductive function, and
though only the minimum carbohydrate recommendations stress fractures.24 Nearly all athletes in our sample failed to
for athletes were used in the study.10 Our findings indicate meet their estimated energy needs. Our findings are alarming
that greater efforts should be focused on increasing sports because half of the athletes in our sample reported intakes
nutrition knowledge and improving eating habits among fe- of less than 2,000 kcal/day, which represents the amount of
male college athletes in order to optimize their nutritional energy that is required for a young woman who is at a low
status, ensure proper recovery from daily training sessions, to moderate activity level.9 Energy consumption of less than
and help them reach their performance potential. 2,000 kcal/day has been identified as “low energy intake,” and
The proportion of energy from carbohydrates, protein and it cannot support the high physical and nutritional demands
fat reported in our study fell within the AMDRs for general of female athletes.30 Thus, it is possible that the nutritional
population. Although these findings are consistent with the status and athletic performance of the female athletes in our
very few previous studies that were conducted with female sample could be significantly improved by optimizing their
athletes,2,16,23 these results do not offer helpful information energy intakes.
about their dietary intakes. For instance, 53% of total en- The female college athletes in our sample consumed the
ergy from carbohydrates reported by our female athletes falls largest proportion of their calories in the evening hours, thus
within the AMDR and may represent an adequate carbohy- spending most of the day in energy deficit. However, frequent
drate intake for healthy recreationally active women. How- snacking is encouraged among athletes during the day be-
ever, female athletes in our study consumed only 4.0 g/kg cause it is positively associated with higher energy intakes.31
of carbohydrates, which is not an adequate amount for re- Previous research has indicated that elite male and female
plenishing liver and muscle glycogen for daily training at athletes typically eat 5 to 6 meals/snacks a day.6,27 Although
any point of the year.5,13 The low carbohydrate intake in our the mean eating frequency was 5 times/day, a large proportion
sample is further illustrated by the fact that 35 out of 45 ath- of our athletes reported eating less than 3 times a day. In ad-
letes consumed less than 5 g/kg of carbohydrates. A similar dition, most athletes reported not having a regular breakfast.
trend has been reported in 2 previous studies with elite fe- Heavy training schedules, gastrointestinal discomfort during
male athletes.6,10 The proportion of energy from dietary fat workouts, and poor availability of foods and beverages have
was within the AMDR of 20%–35% in our sample. Some been identified as common reasons for not consuming break-
experts also suggest that athletes should keep their dietary fast among athletes.6,13 However, a combination of breakfast
fat intakes under 30% of total energy in order to ensure ade- skipping and infrequent fueling during the day by the female
quate carbohydrate and protein intakes.13 In our study, 24% college athletes in our sample may significantly diminish the
of the female athletes reported dietary fat intakes above 35% training potential.6,21,31
of total energy. Thus, it is possible that the relatively high It is important to note that a relatively large proportion of
dietary fat intake compromised the amount of carbohydrates our sample evaluated their diets as fair/poor and expressed
consumed by the athletes. It is also important to note that difficulties with maintaining weight during the season and
the proportion of energy from dietary fat was positively cor- while traveling, which is a common problem among college
related with the frequency of dining out, which could be athletes.32 In addition, nearly one-third of the athletes wanted
explained by the frequent dining in Mexican restaurants and to lose weight, although the majority of the athletes evalu-
fast food restaurants that was reported in our study. ated their weight as healthy. This finding suggests that further
The mean protein intake of the female athletes in our study evaluation of female college athletes is warranted in order
was not significantly below the minimum recommended level to identify individuals with potential body image issues and
of 1.2 g/kg. However, a further analysis revealed that more eating disorders, either clinical or subclinical, which may en-
than half of the female athletes consumed less protein than danger the nutritional status and performance of the athlete.22
recommended. This finding illustrates a common problem Although it is well known that dehydration can signif-
with interpreting dietary assessment data using group mean icantly impair athletic performance even at 1%–2%,18 the
intakes. In a study by Hinton and Beck,25 a sample of female female college athletes in our sample did not follow basic
athletes, including individuals categorized as having restric- guidelines for adequate hydration.14 Only a few female ath-
tive eating patterns, reported mean protein intakes of 1.3 to letes in our sample monitored their hydration status, which is
1.7 g/kg. However, it is likely that a significant number of the currently recommended as a routine procedure using simple
athletes failed to meet the minimum protein needs of 1.2 g/kg. tools such as urine volume and color, to maintain euhydra-
Similarly, a study by Heaney et al10 showed that elite female tion (normal body water content).18 Many athletes consumed
athletes consumed an average of 1.6g/kg of protein; however, very little or no fluids during workouts, most preferred water

14 JOURNAL OF AMERICAN COLLEGE HEALTH


Dietary Habits of Female College Athletes

over the recommended beverages containing carbohydrates these nutrition-related problems because inadequate dietary
and electrolytes,18 and virtually none of the athletes followed intakes and eating behaviors can negatively impact not only
a drinking schedule during a competition. Previous research the quality of training and recovery, but also the nutritional
has indicated that even elite athletes consume inadequate status and overall health of female college athletes. Although
amount of fluids during training and competition.6 Given our further studies with representative samples of the target pop-
findings, it is apparent that effective strategies for improving ulation are warranted, our findings indicate that effective
hydration practices and drinking schedules of competitive nutrition interventions to improve nutrition knowledge, opti-
athletes are needed at all levels of competition, including mize dietary intakes, and increase awareness of basic sports
female collegiate athletes. nutrition recommendations are currently needed among fe-
male college athletes.
Limitations
Through detailed dietary assessment, the current study ACKNOWLEDGMENTS
identified important dietary and eating behavior trends in a The authors would like to thank the university’s athletic
sample of female college athletes. However, there are several trainers for assisting with the recruitment of the athletes for
limitations that should be noted. First, our study is limited this study and the female athletes who participated in the
by the utilization of a relatively small sample of athletes. study. The authors also want to express sincere thank you
The time commitment and effort required for the dietary as- to the researchers working with the USA Track & Field,
sessment did not allow many female athletes to participate especially Jackie Maurer Abbott, who gave us permission to
in the study due their hectic class schedules, multiple train- utilize the CAED Nutrition Questionnaire for our study.
ing sessions, and other commitments. Although statistically
significant, the small correlations found between individ- NOTE
ual nutrient intakes and other variables, such as meal/snack
For comments and further information, address correspon-
frequency and dining out, could have been influenced by
dence to Lenka H. Shriver, Department of Nutritional Sci-
a variety of factors in athlete’s lives, such as the opportu-
ences, Oklahoma State University, 311 Human Sciences,
nities to dine at a training table during the week, cooking
College of Human Sciences, Stillwater, OK 74078, USA
skills, or specific living arrangements of the athletes in the
(e-mail: lenka.humenikova@okstate.edu).
sample. Thus, further research utilizing a large sample of
college female athletes is warranted to explore these correla-
tions in depth and to expand our findings on dietary intakes REFERENCES
and eating habits within this population. Second, given the 1. National Collegiate Athletic Association. NCAA partici-
pation rates going up. Available at: http://www.ncaa.com/news/
convenience nature of our sample, it is possible that the fe-
ncaa/article/2011-11-02/ncaa-participation-rates-going. Accessed
male athletes who volunteered to participate in the study had August 5, 2012.
a greater interest in nutrition and/or health than other ath- 2. Garcin M, Doussot L, Mille-Hamard L, Billat V. Athletes’
letes or were perhaps experiencing nutrition-related issues dietary intake was closer to French RDA’s than those of young
that encouraged them to participate in the study. Thus, our sedentary counterparts. Nutr Res. 2009;29:736–742.
3. Aerenhouts D, Hebbelinck M, Poortmans JR, Clarys P. Nu-
findings may not represent dietary intakes and eating habits
tritional habits of Flemish adolescent sprint athletes. Int J Sport
of others and cannot be generalized to all female college ath- Nutr Exerc Metab. 2008;18:509–523.
letes. Third, the dietary assessment in the current study was 4. American College of Sports Medicine, American Dietetic
limited to 3 days of reported food intake from food records Association, Dietitians of Canada. Position of the American Dietetic
and 1 day of dietary intake from 24-hour recalls. Although a Association, Dietitians of Canada, and the American College of
Sports Medicine: nutrition and athletic performance. J Am Diet
7-day food record could provide a more accurate estimate of
Assoc. 2009;109:509–527.
usual dietary intake of the athletes in the study, it has been as- 5. Burke LM, Kiens B, Ivy JL. Carbohydrates and fat for train-
sociated with higher attrition rates in previous studies. Thus, ing and recovery. J Sports Sci. 2004;22:15–30.
our study utilized 3-day food records, in combination with a 6. Burke LM, Slater G, Broad EM, Haukka J, Modulon S,
24-hour recall, that have been validated for the assessment of Hopkins WG. Eating patterns and meal frequency of elite Australian
athletes. Int J Sport Nutr Exerc Metab. 2003;13:521–538.
energy and macronutrients intakes and have been used with
7. Johnson C, Powers PS, Dick R. Athletes and eating disor-
a variety of populations, including athletes.10,33 ders: the National Collegiate Athletic Association study. Int J Eat
Disord. 1999;26:179–188
8. Körtzinger I, Bierwag A, Mast M, Müller MJ. Dietary under-
Conclusions reporting: validity of dietary measurements of energy intake using
The results of our study show the importance of evaluating a 7-day dietary record and a diet history in non- obese subjects. Ann
dietary intakes and eating habits of female college athletes Nutr Metab. 1997;41:37–44.
and using the established sports nutrition recommendations 9. Institute of Medicine, Food and Nutrition Board. Dietary
Reference Intakes for Energy, Carbohydrate, Fiber, Fat, Fatty Acids,
to do so. The female athletes in our study failed to meet their Cholesterol, Protein, and Amino Acids. Washington, DC: National
minimum energy and carbohydrate needs and they also failed Academies Press; 2005.
to follow basic sports nutrition guidelines. Sports physicians, 10. Heaney S, O’Connor H, Gifford J, Naughton G. Int J Sport
nutritionists, as well as athletic trainers should be aware of Nutr Exerc Metab. 2010;20:245–256.

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Shriver, Betts, & Wollenberg

11. Farajian P, Kavouras SA, Yannakoulia M, Sidossis LS. Di- 23. Soric M, Misigoj-Durakovic M, Pedisic Z. Dieatry intake
etary intake and nutritional practices of elite Greek aquatic athletes. and body composition of prebuscent female aethetic athletes. Int J
Int J Sports Nutr Exerc Metab. 2004;14:574–585. Sport Nutr Exerc Metab. 2008;18:343–354.
12. Phillips SM, Moore DR, Tang J. A critical examination of 24. Loucks AB. Low energy availability in the marathon and
dietary protein requirements, benefits, and excesses in athletes. Int other endurance sports. Sports Med. 2007;37:348–352.
J Sport Nutr Exerc Metab. 2007;17(suppl):S58–S76. 25. Hinton PS, Beck NC. Nutrient intakes of men and women
13. Burke LM, Cox GR, Culmmings NK, Desbrow B. Guide- collegiate athletes with disordered eating. J Sports Sci Med.
lines for daily carbohydrate intake: do athletes achieve them? Sports 2005;4:253–262.
Med. 2001;31:267–299. 26. Barr SI, Murphy SP, Poos MI. Interpreting and using the
14. Tipton KD, Witard OC. Protein requirements and recom- dietary references intakes in dietary assessment of individuals and
mendations for athletes: relevance of ivory tower arguments for groups. J Am Diet Assoc. 2002;102:780–788.
practical recommendations. Clin Sports Med. 2007;26:17–36. 27. Butterworth DE, Nieman DC, Butler JV, Herring JL. Food
15. Tipton KD, Wolfe RR. Protein and amino acids for athletes. intake patterns of marathon runners. Int J Sport Nutr Exerc Metab.
J Sports Sci. 2004;22:65–79. 1994;4:1–7.
16. Ziegler PJ, Jonnalagadda SS, Nelson JA, Lawrence C, Ba- 28. Conway JM, Ingwersen LA, Vinyard BT, Moshfegh AJ.
ciak B. Contribution of meals and snacks to nutrient intake of male Effectiveness of the USDA’s five-step multiple-pass method to as-
and female elite figure skaters during peak competitive season. J sess food intake in obese and non-obese women. Am J Clin Nutr.
Am College Nutr. 2002;21:114–119. 2003;77:1171–1178.
17. Dunford M. Sports Nutrition: A Practice Manual for Profes- 29. Cunningham JJ. A reanalysis of the factors influencing
sionals. 4th ed. Chicago, IL: American Dietetic Association; 2006. basal metabolic rate in normal adults. Am J Clin Nutr. 1980;
18. Sawka MN, Burke LM, Eichner ER, Maughan RJ, Montain 33:2372–2374.
SJ, Stachenfeld NS. American College of Sports Medicine posi- 30. Beals K, Manore M. Nutritional considerations for the fe-
tion stand. Exercise and fluid replacement. Med Sci Sports Exerc. male athlete. In: MacLean D, ed. Advances in Sports and Exercise
2007;39:377–390. Science Series. Philadelphia, PA: Elsevier; 2007:187–206.
19. Jentjens RL, Cale C, Gutch C, Jeukendrup AE. Effects of 31. Kirsch KA, von Ameln H. Feeding patterns of en-
pre-exercise ingestion of differing amounts of carbohydrate on sub- durance athletes. Eur J Appl Physiol Occup Physiol. 1981;47:197–
sequent metabolism and cycling performance. Eur J Appl Physiol. 208.
2003;88:444–452. 32. Burke L. Practical issues in nutrition for athletes. J Sports
20. Moseley L, Lancaster GI, Jeukendrup AE. Effects of timing Sci. 1995;13(spec no):S83–S90.
of pre-exercise ingestion of carbohydrate on subsequent metabolism 33. Magkos F, Yannakoulia M. Methodology of dietary assess-
and cycling performance. Eur J Appl Physiol. 2003:88:453–458. ment in athletes: concepts and pitfalls. Curr Opin Clin Nutr Metab
21. Pollitt E. Does breakfast make a difference in school? J Am Care. 2003:6:539–549.
Diet Assoc. 1995;95:1134–1139.
22. Greanleaf C, Petrie TA, Carter J, Reel JJ. Female collegiate Received: 8 February 2012
athletes: prevalence of eating disorders and disorders eating behav- Revised: 19 August 2012
iors. J Am Coll Health. 2009;57:489–496. Accepted: 5 November 2012

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